Rationale of perspective directions of standardization of medical care of the population of Ukraine at the turn of 2020

Abstract

Abstract. The state of standardization of healthcare services to the population of Ukraine has to be critically analyzed and compared with the basic European recommendations on methodology. Since the standardization of healthcare services usually takes place under complex national conditions and is a component of the quality management system, we aimed to determine whether the methodology for standardizing healthcare services in Ukraine is consistent with the methods used in countries with strong economies. Aim: to determine whether the implementation and development of the methodology for standardizing healthcare services to the population of Ukraine corresponds to the approaches in the European Union, and to substantiate promising directions for improving the standardization of healthcare services to the population of Ukraine at the turn of 2020. Materials and methods. A historical analysis of the normative documents that currently define the methodology of standardization of healthcare services in Ukraine and their comparative analysis with the EU acquis in health care have been carried out. Results and discussion. Since the main responsibility for improving the quality of healthcare services belongs to government institutions, the common documents of the European Union on this issue are recommendative in nature. At the same time, a comparative analysis made it possible to identify the main achievements and gaps in the methodological support of standardization in the healthcare sector in Ukraine, to substantiate the directions for improving the standardization of healthcare services to the population of Ukraine at the turn of 2020. Conclusion. At the beginning of 2020, the methodology for standardizing healthcare services in Ukraine partially corresponds to the approaches typical of the European Union. At the present stage, improving the quality of healthcare services in Ukraine requires strengthening the accountability of government agencies, improving the procedure for implementing and updating health standards in accordance with existing data, establishing a connection between the quality criteria of healthcare services, the drug formulary and the list of available equipment based on a single evidence base and a single conceptual and terminological thesaurus, monitoring the compliance with standards and tariffs for medical (pharmaceutical) services through pilot implementation, monitoring of clinical indicators. The progress in these areas is possible providing that the methodology of evidence-based medicine is followed, with the broad involvement of healthcare professionals and healthcare service receivers.

Keywords

• methodology, health care quality standard, clinical guideline